| NPI | 1497435606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB MARTIN STUEBS Shareholder 805-665-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |